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       <h3>咨询申请单样式</h3>
      <!--start-->
      <div class="book-table">
        <div class="line1"> 
          <span class="sp1">姓名：<em>黄花菜</em></span>
          <span class="sp2">性别：<em>女</em></span>
          <span class="sp3">出生年月：<em>2015-10-20</em></span>
          <span class="sp4">所在地：<em>广东省广州市</em></span>
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          <span class="sp1">咨询科目：<em>牙科</em></span>
          <span class="sp2">咨询目的：<em>牙变白</em></span>
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           <p class="p1">具体情况（既往病史支持添加多行）</p>
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             <span class="sp1">发病经过</span>
             <span class="sp2">既往病史</span>
             <span class="sp3">既往病史</span>
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           <p class="p3">
             <span class="sp1">
                <a>开始时间：2015-10-10 </a>
                <a>并发症状时间：2015-10-10</a>
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             <span class="sp2">
                <a>所患疾病:</a>
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                      <option value=""></option>
                      <option value="33">口腔</option>
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                <a>治疗医院:</a>
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                      <option value="33">口腔</option>
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                      <option value="34">眼睛</option>
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                <a>治疗方式:</a>
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                      <option value="33">口腔</option>
                      <option value="34">眼睛</option>
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        <div class="time">咨询时间：2015-10-10</div>
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